{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:48:19Z","timestamp":1791571699074,"version":"4.3.4"},"reference-count":19,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"6","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Oncology Practice"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec><jats:title>PURPOSE:<\/jats:title><jats:p>Fear of cancer recurrence (FCR) affects 50%-70% of cancer survivors. This multicenter, single-arm study sought to determine the participant-rated usefulness of an oncologist-delivered FCR intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>Women who completed treatment for early breast cancer (could be receiving endocrine therapy) with baseline FCR &gt; 0 were invited to participate. FCR was measured using a validated 42-item FCR Inventory. The brief oncologist-delivered intervention entailed (1) FCR normalization; (2) provision of personalized prognostic information; (3) recurrence symptoms education, (4) advice on managing worry, and (5) referral to psycho-oncologist if FCR was high. FCR, depression, and anxiety were assessed preintervention (T0), at 1 week (T1), and 3 months (T2) postintervention. The primary outcome was participant-rated usefulness. Secondary outcomes included feasibility and efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>Five oncologists delivered the intervention to 61\/255 women invited. Mean age was 58 \u00b1 12 years. Mean time since breast cancer diagnosis was 2.5 \u00b1 1.3 years. Forty-three women (71%) were on adjuvant endocrine therapy. Of 58 women who completed T1 assessment, 56 (97%) found the intervention to be useful. FCR severity decreased significantly at T1 (F = 18.5, effect size = 0.39, P &lt; .0001) and T2 (F = 24, effect size = 0.68, P &lt; .0001) compared with baseline. There were no changes in unmet need or depression or anxiety. Mean consultation length was 22 minutes (range, 7-47 minutes), and mean intervention length was 8 minutes (range, 2-20 minutes). The intervention was perceived as useful and feasible by oncologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION:<\/jats:title><jats:p>A brief oncologist-delivered intervention to address FCR is useful and feasible, and has preliminary efficacy in reducing FCR. Plans for a cluster randomized trial are underway.<\/jats:p><\/jats:sec>","DOI":"10.1200\/op.20.00799","type":"journal-article","created":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T21:01:16Z","timestamp":1613077276000},"page":"e774-e784","update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":25,"title":["Novel Clinician-Lead Intervention to Address Fear of Cancer Recurrence in Breast Cancer Survivors"],"prefix":"10.1200","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4442-6516","authenticated-orcid":false,"given":"Jia","family":"Liu","sequence":"first","affiliation":[{"name":"Crown Princess Mary Cancer Centre, Westmead, Australia"},{"name":"Psycho-Oncology Co-operative Research Group, University of Sydney, Camperdown, Australia"},{"name":"The Chris O'Brien Lifehouse, Camperdown, Australia"},{"name":"Blacktown Cancer Centre, Blacktown, Australia"},{"name":"Western Sydney University, Campbelltown, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3562-6954","authenticated-orcid":false,"given":"Phyllis","family":"Butow","sequence":"additional","affiliation":[{"name":"Psycho-Oncology Co-operative Research Group, University of Sydney, Camperdown, Australia"},{"name":"The Chris O'Brien Lifehouse, Camperdown, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8815-3551","authenticated-orcid":false,"given":"Kim T.","family":"Bui","sequence":"additional","affiliation":[{"name":"Concord Cancer Centre, Concord Repatriation General Hospital, Concord, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2036-0973","authenticated-orcid":false,"given":"Anastasia","family":"Serafimovska","sequence":"additional","affiliation":[{"name":"Psycho-Oncology Co-operative Research Group, University of Sydney, Camperdown, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6111-0620","authenticated-orcid":false,"given":"Daniel S. 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